HomeMy WebLinkAboutHomestead_Oniones" CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` Stata Fortn 5673 (RB! 7-07)
!
Prescnbed by U�e Depanmerri af Loral Govemment Finance
INSTRUCTIONS: See ieverse side for filing insLuctions.
FORM
HC10
i 1 � . �
YEAR
��e� , , certify that onllfie 1�t aa�V�rai, zo_
I(We) occupied as our pri ' I place of residence the following described real property tor which a Homestead PropertyZac Gedit is hereby daimed:
/� I(We) owned Ne buying under contrad GIBSON /fl���'�u���
Have a benefiaal interest in the enGty Mat is liable fw the property tanes on the property and that owns the propert'y o7 (�swyirYg 6�ntraIX.
�f Wying am m�iraU, Fea Simple ownefs name
Rewdels o14ce where coniraa is recordad
Cumry � Twnship
Parcd number
Nairy pwtion c
otme w�Pem
IRecord number Page
�ict iGIY• fown. townshi0)
�
Is U�e property' ueslion:
�eal property ❑ Mobile Home I/C G7.1-n
sVUUure w ihe land not erzc irg orre`(1) acre t im�ately surtounds Ihal
ice income. y
i�
W
used m pmduce income, descnbe ihe uu and pw�bn
�_ � � � .� • �
��'. �
Land not exceedirg 1 (orre) aae immediatety . =: , � . " �
wrroundirgresidentialimprovements. (�� -��� °��-- , � � �
Other land ; r:..: �.;. �,c: ,.'. i _
(z) - 7i`:;'
Tdal land (line 1 plus line 2) �g�
Residential improvemen[s w Mnualty �elling (4) .
Assessed Mobile I ManuFacWred Home ��
Garage �5� _ - . .' . � . _
Other improvements (6) ' -
Tdal improvements (line 4 through line 6) �7)
Tcfal value (line 3 plw lirre � �g�
I hereby certify Ne above is We, correct, and Signawre of Assessor Date signed (monM, day, yea�
complete.
Vaifyirp adion - SigraWre MAudilw Date signed (rrnanth. tlay. ysar)
�' � . - � � � � •
pay 20 _ qg ppp for 2007 pay 2008 42,000 fw 2010 pay 2017
Lesser of 12 qq.ppp for 2008 pay 2009 41.000 for 2011 pay 2012
Homestead Valuation S
« 43,000 for 2009 pay 2010 40,000 payable afler 2012
signawra of �br Da1e signed (rtran(h, daY. rea�